{"id":897,"date":"2022-10-29T04:43:00","date_gmt":"2022-10-29T04:43:00","guid":{"rendered":"https:\/\/portaldiadia.com\/?p=897"},"modified":"2022-10-29T04:43:35","modified_gmt":"2022-10-29T04:43:35","slug":"nizky-krevni-tlak-behem-tehotenstvi-co-to-je","status":"publish","type":"post","link":"https:\/\/portaldiadia.com\/cs\/nizky-krevni-tlak-behem-tehotenstvi-co-to-je\/","title":{"rendered":"N\u00edzk\u00fd krevn\u00ed tlak b\u011bhem t\u011bhotenstv\u00ed: co to je?"},"content":{"rendered":"

V t\u011bhotenstv\u00ed je krevn\u00ed tlak p\u0159\u00edsn\u011bji sledov\u00e1n, proto\u017ee jeho p\u0159\u00edpadn\u00e9 v\u00fdkyvy mohou m\u00edt p\u0159\u00edm\u00fd dopad na v\u00fdvoj plodu. Krevn\u00ed tlak se v\u0161ak m\u016f\u017ee n\u011bkdy sn\u00ed\u017eit v d\u016fsledku \u00fanavy nebo jin\u00fdch vnit\u0159n\u00edch p\u0159\u00ed\u010din n\u00edzk\u00fd krevn\u00ed tlak b\u011bhem t\u011bhotenstv\u00ed<\/strong>.<\/p>\n

Proto se v tomto \u010dl\u00e1nku dozv\u00edte v\u00edce o n\u00edzk\u00fd krevn\u00ed tlak b\u011bhem t\u011bhotenstv\u00ed. <\/strong>Sledujte n\u00e1s a dozv\u00edte se v\u00edce o t\u00e9matu pr\u00e1v\u011b te\u010f!<\/p>\n

Za prv\u00e9, co je hypotenze?<\/h2>\n

\"\"<\/p>\n

O hypotenzi mluv\u00edme tehdy, kdy\u017e je tlak vyv\u00edjen\u00fd krv\u00ed na st\u011bnu tepny ni\u017e\u0161\u00ed ne\u017e norm\u00e1ln\u00ed. O hypotenzi mluv\u00edme, kdy\u017e je maximum (prvn\u00ed \u010d\u00edslice krevn\u00edho tlaku) u dosp\u011bl\u00fdch ni\u017e\u0161\u00ed ne\u017e 9 mm Hg.<\/p>\n

Jde tedy o p\u0159esn\u00fd opak vysok\u00e9ho krevn\u00edho tlaku. Tento jev se m\u016f\u017ee \u010das od \u010dasu objevit v jak\u00e9mkoli v\u011bku \u017eivota. Ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f je p\u0159\u00ed\u010dina nezn\u00e1m\u00e1 a hypotenzn\u00ed krize nep\u0159edstavuje zdravotn\u00ed hrozbu.<\/p>\n

Pokud v\u0161ak n\u00edzk\u00fd krevn\u00ed tlak nen\u00ed nemoc s\u00e1m o sob\u011b, m\u016f\u017ee b\u00fdt projevem n\u011bkolika patologi\u00ed, jako je srde\u010dn\u00ed selh\u00e1n\u00ed nebo selh\u00e1n\u00ed nadledvin.<\/p>\n

Existuje v\u0161ak mnoho dal\u0161\u00edch mo\u017en\u00fdch p\u0159\u00ed\u010din, jako je dehydratace, u\u017e\u00edv\u00e1n\u00ed n\u011bkter\u00fdch l\u00e9k\u016f (zejm\u00e9na antidepresiv, diuretik), konzumace alkoholu nebo dokonce velmi v\u00fdrazn\u00e9 hubnut\u00ed.<\/p>\n

Pro\u010d b\u011bhem t\u011bhotenstv\u00ed kles\u00e1 krevn\u00ed tlak?<\/h2>\n

B\u011bhem prvn\u00edho trimestru m\u00e1 krevn\u00ed tlak u t\u011bhotn\u00fdch \u017een tendenci p\u0159irozen\u011b klesat.<\/p>\n

Ve skute\u010dnosti je ob\u011bhov\u00fd syst\u00e9m zcela nasm\u011brov\u00e1n k placent\u011b a plodu, zat\u00edmco v\u00fdznamn\u00e9 hormon\u00e1ln\u00ed zm\u011bny v t\u00e9to f\u00e1zi zp\u016fsobuj\u00ed dilataci tepen a \u017eil. V\u00fdsledky: nap\u011bt\u00ed m\u00edrn\u011b kles\u00e1.<\/p>\n

To m\u016f\u017ee vysv\u011btlit to\u010den\u00ed hlavy nebo z\u00e1vrat\u011b, kter\u00e9 mohou t\u011bhotn\u00e9 \u017eeny za\u017e\u00edt. Ale jakmile za\u010dne druh\u00fd trimestr, nap\u011bt\u00ed by se m\u011blo vr\u00e1tit do norm\u00e1ln\u00edho stavu.<\/p>\n

Dal\u0161\u00edmi zm\u011bnami projde a\u017e na za\u010d\u00e1tku t\u0159et\u00edho \u010dtvrtlet\u00ed, b\u011bhem kter\u00e9ho se p\u0159\u00edpady n\u00edzk\u00fd krevn\u00ed tlak b\u011bhem t\u011bhotenstv\u00ed<\/strong> jsou obvykle odhaleny.<\/p>\n

Jak zjistit n\u00edzk\u00fd krevn\u00ed tlak b\u011bhem t\u011bhotenstv\u00ed?<\/h2>\n

Pokles krevn\u00edho tlaku je \u010dasto doprov\u00e1zen mnoha p\u0159\u00edznaky, jejich\u017e v\u00fdznam se m\u016f\u017ee u \u017een li\u0161it:<\/p>\n

    \n
  • Bolest hlavy<\/li>\n
  • Zv\u00fd\u0161en\u00e1 \u00fanava,<\/li>\n
  • studen\u00fd pot,<\/li>\n
  • Sly\u0161en\u00ed bzu\u010den\u00ed,<\/li>\n
  • poruchy vid\u011bn\u00ed,<\/li>\n
  • Bledost obli\u010deje,<\/li>\n
  • Ni\u017e\u0161\u00ed tepov\u00e1 frekvence.<\/li>\n<\/ul>\n

    Pokud zaznamen\u00e1te tyto klinick\u00e9 p\u0159\u00edznaky, m\u011bli byste si lehnout se zvednut\u00fdmi nohami tak, aby byly v\u00fd\u0161e ne\u017e zbytek t\u011bla.<\/p>\n

    Tato poloha usnad\u0148uje pr\u016ftok krve do mozku a rychleji obnovuje norm\u00e1ln\u00ed krevn\u00ed tlak. Norm\u00e1ln\u011b tento typ opat\u0159en\u00ed sta\u010d\u00ed k vy\u0159e\u0161en\u00ed specifick\u00e9ho poklesu nap\u011bt\u00ed.<\/p>\n

    Zam\u011b\u0159te se na ortostatickou hypotenzi<\/h2>\n

    O ortostatick\u00e9 hypotenzi hovo\u0159\u00edme tehdy, kdy\u017e je pokles krevn\u00edho tlaku zp\u016fsoben ur\u010dit\u00fdm dr\u017een\u00edm t\u011bla. Tento jev odhaluje abnormalitu v reflexu, co\u017e umo\u017e\u0148uje, aby se krevn\u00ed tlak p\u0159izp\u016fsobil zm\u011bn\u00e1m polohy.<\/p>\n

    Tento specifick\u00fd typ hypotenze je obvykle pozorov\u00e1n, kdy\u017e se \u010dlov\u011bk velmi prudce p\u0159esune z lehu do stoje nebo po dlouh\u00e9m sezen\u00ed.<\/p>\n

    Zat\u00edmco touto poruchou m\u016f\u017ee b\u00fdt posti\u017eeno mnoho jedinc\u016f, ortostatick\u00e1 hypotenze postihuje i t\u011bhotn\u00e9 \u017eeny, jejich\u017e krevn\u00ed tlak je ji\u017e oslaben r\u016fzn\u00fdmi hormon\u00e1ln\u00edmi zm\u011bnami.<\/p>\n

    Proto je vhodn\u00e9 vyh\u00fdbat se poloh\u00e1m, kter\u00e9 podporuj\u00ed stagnaci krve v doln\u00edch kon\u010detin\u00e1ch a zhor\u0161uj\u00ed mozkovou irigaci.<\/p>\n

    Jak je to s hypertenz\u00ed v t\u011bhotenstv\u00ed?<\/h2>\n

    Monitorov\u00e1n\u00ed tlaku m\u00e1 tak\u00e9 za c\u00edl sledovat mo\u017en\u00e9 zv\u00fd\u0161en\u00ed nap\u011bt\u00ed. O hypertenzi hovo\u0159\u00edme tehdy, kdy\u017e t\u011bhotn\u00e1 \u017eena p\u0159ekro\u010d\u00ed m\u011b\u0159en\u00ed 14\/9.<\/p>\n

    T\u00e9m\u011b\u0159 10% t\u011bhotn\u00fdch \u017een by za\u017eilo tento jev. Pat\u0159\u00ed mezi n\u011b t\u011bhotn\u00e9 \u017eeny, kter\u00e9 p\u0159ed t\u011bhotenstv\u00edm trp\u011bly vysok\u00fdm krevn\u00edm tlakem, a ty, kter\u00e9 maj\u00ed p\u0159\u00edznaky preeklampsie.<\/p>\n

    Ve v\u0161ech p\u0159\u00edpadech vysok\u00fd krevn\u00ed tlak v t\u011bhotenstv\u00ed obvykle vy\u017eaduje hospitalizaci, aby se zkontrolovalo, zda plod prosp\u00edv\u00e1. Zat\u00edmco v\u011bt\u0161ina \u017een m\u016f\u017ee j\u00edt dom\u016f s doporu\u010den\u00edm k odpo\u010dinku, n\u011bkter\u00e9 by m\u011bly b\u00fdt pe\u010dliv\u011bji sledov\u00e1ny.<\/p>\n

    Co je to preeklampsie?<\/h2>\n

    Preeklampsie, charakterizovan\u00e1 zv\u00fd\u0161en\u00edm krevn\u00edho tlaku a p\u0159\u00edtomnost\u00ed b\u00edlkovin v mo\u010di, je porodnick\u00e1 patologie, kterou je t\u0159eba br\u00e1t v\u00e1\u017en\u011b, proto\u017ee jej\u00ed d\u016fsledky mohou b\u00fdt pro matku i d\u00edt\u011b v\u00fdznamn\u00e9.<\/p>\n

    Stru\u010dn\u011b \u0159e\u010deno, m\u016f\u017ee se objevit po dvaceti t\u00fddnech amenorey a p\u0159etrv\u00e1vat \u0161est t\u00fddn\u016f po porodu.<\/p>\n

    Diagn\u00f3za preeklampsie nutn\u011b vy\u017eaduje l\u00e9ka\u0159skou p\u00e9\u010di o nast\u00e1vaj\u00edc\u00ed maminku v nemocni\u010dn\u00edm prost\u0159ed\u00ed.<\/p>\n

    Ve skute\u010dnosti m\u016f\u017ee toto t\u011bhotensk\u00e9 onemocn\u011bn\u00ed v\u00e9st k v\u00e1\u017en\u00fdm komplikac\u00edm: k\u0159e\u010de, mozkov\u00e9 krv\u00e1cen\u00ed, selh\u00e1n\u00ed ledvin, odtr\u017een\u00ed placenty\u2026<\/p>\n

    Jedinou \u00fa\u010dinnou l\u00e9\u010dbou preeklampsie je porod! Ale kdy\u017e hypertenze za\u010d\u00edn\u00e1 velmi brzy, mus\u00ed b\u00fdt zavedena terapeutick\u00e1 strategie k odd\u00e1len\u00ed porodu.<\/p>\n

    Obecn\u011b z\u016fst\u00e1v\u00e1 stabiln\u00ed prvn\u00ed t\u0159i m\u011bs\u00edce, ve druh\u00e9m trimestru kles\u00e1 a ve t\u0159et\u00edm se vrac\u00ed k norm\u00e1lu. Tyto odchylky jsou zp\u016fsobeny p\u0159irozen\u00fdmi adapta\u010dn\u00edmi mechanismy t\u011bla na t\u011bhotenstv\u00ed.<\/p>\n

    Ve skute\u010dnosti je norm\u00e1ln\u011b systolick\u00fd tlak zdrav\u00e9ho dosp\u011bl\u00e9ho (nejvy\u0161\u0161\u00ed \u010d\u00edslo) mezi 100 a 140 a diastolick\u00fd tlak mezi 70 a 95 mmHg.<\/p>\n

    Pokles krevn\u00edho tlaku b\u011bhem t\u011bhotenstv\u00ed je norm\u00e1ln\u00ed. To proto, \u017ee:<\/p>\n

      \n
    • T\u011bhotensk\u00e9 hormony oslabuj\u00ed c\u00e9vy.<\/li>\n
    • D\u00e1le je srdce v\u00edce nam\u00e1h\u00e1no a v t\u011ble koluje hodn\u011b krve. Velk\u00e1 \u010d\u00e1st t\u00e9to krve je ur\u010dena pro placentu.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"

      B\u011bhem t\u011bhotenstv\u00ed je krevn\u00ed tlak sledov\u00e1n pe\u010dliv\u011bji, proto\u017ee jeho mo\u017en\u00e9 kol\u00eds\u00e1n\u00ed m\u016f\u017ee m\u00edt p\u0159\u00edm\u00fd vliv na v\u00fdvoj plodu. Krevn\u00ed tlak se v\u0161ak n\u011bkdy m\u016f\u017ee sn\u00ed\u017eit v d\u016fsledku \u00fanavy nebo jin\u00fdch vnit\u0159n\u00edch p\u0159\u00ed\u010din, co\u017e zp\u016fsobuje n\u00edzk\u00fd krevn\u00ed tlak b\u011bhem t\u011bhotenstv\u00ed. Proto se v tomto \u010dl\u00e1nku dozv\u00edte v\u00edce o krevn\u00edm tlaku [\u2026]<\/p>","protected":false},"author":1,"featured_media":898,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[66],"tags":[],"class_list":{"0":"post-897","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-familia"},"_links":{"self":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/posts\/897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/comments?post=897"}],"version-history":[{"count":0,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/posts\/897\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/media\/898"}],"wp:attachment":[{"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/media?parent=897"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/categories?post=897"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/portaldiadia.com\/cs\/wp-json\/wp\/v2\/tags?post=897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}